The Board of Governors (BOG) is the College's grassroots forum. Governors are the only elected leaders in the College, and they represent their members in Canada, Mexico, the United States and Puerto Rico, the U.S. armed services, veterans and Public Health Service. Governors also serve as Chapter Presidents in their states and regions where Chapters exist.
- BOG Chair: David C. May, MD, PhD, FACC (Texas)
- BOG Chair-Elect: Michael Mansour, MD, FACC (Mississippi)
- Immediate-Past BOG Chair: Dipti Itchhaporia, MD, FACC (California)